Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | G7708 | TX |
NPI | 1003819285 |
---|---|
Provider Name | Dr. Robert Alan Rice |
First Address | San Antonio, TX 78207-1266 |
Second Address | San Antonio, TX 78207-1266 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 03/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
123988101 | (05) | TX |
D38138 | (02) | TX |